VERMONT DIRECT SHIP TO CONSUMER LICENSE IN-STATE and OUT-OF-STATE Please read the application requirements and license restrictions below to determine whether a direct shipping license is right for your business. Application Requirements: Complete and return the State of Vermont Direct Shipper Application. In order to obtain a direct shipper license you must provide the following information with your application. Application fee of $300.00, renewal fee of $300.00 to be made payable to the Department of Liquor Control. Valid copy of your liquor license from the state in which your winery is located. License Restrictions: Ship no more than 12 cases of wine containing no more than 29 gallons of vinous beverages to any individual in any calendar year. Ensure that delivery is made by common carrier only and require that the common carrier: (A) Deliver wine pursuant to an invoice that includes the name of the licensee and the name and address of the purchaser. (B) Require valid form of photographic identification from a recipient who appears to be under the age of 30, on delivery. (C) Require the recipient to sign an electronic or paper form or other acknowledgment of receipt. Retain a copy of each record of sale for a minimum of five years from the date of shipping. Ensure that all containers of vinous beverages shipped directly to a Vermont resident are conspicuously labeled contains alcohol: signature of individual age 21 or older required for delivery. Ship wine only by common carrier as required in subsection 66(f) of Title 7. Report at least twice a year to the Department of Liquor Control the following: (A) The total amount of vinous beverages shipped into or within the state for the preceding six months. (B) The names and addresses of the purchasers to whom the vinous beverages were shipped. (C) The date purchased, the name of the common carrier used to make each delivery; and the quantity and value of each shipment. Pay directly to the Commissioner of Taxes the amount of tax on the vinous beverages shipped. Delivery in Vermont by the holder of a license shall be deemed to constitute a sale in Vermont at the place of delivery and shall be subject to all excise and sales taxes levied by the State of Vermont. Permit the State Treasurer, the Department of Liquor Control, and the Department of Taxes, separately or jointly, upon request to perform an audit of the records of the holder of a license issued under this section. American LegalNet, Inc. www.FormsWorkflow.com Be deemed to have consented to jurisdiction of the Department of Liquor Control or any other state agency and the Vermont state courts concerning enforcement of this or other related laws and regulations. Not have any financial interest either directly or indirectly in a Vermont wholesale dealer or retail dealer, including a first, second or third class license. Comply with all Department of Liquor Control Laws and Regulations. A common carrier shall not deliver vinous beverages until it has complied with the provisions of Title 7 V.S.A. Section 239(a) and (b) of this title and be certified by the Department of Liquor Control. No employee of a common carrier shall deliver vinous beverages until that employee completes the training required by Title 7 V.S.A. Section 239(c). Common carriers shall only deliver vinous beverages that have been shipped by the holder of a license issued under Title 7 V.S.A. Section 66. Direct shipments of vinous beverages are prohibited if they are specifically authorized and in compliance with Title 7 V.S.A. Section 66. Any person who knowingly makes, participates in, imports, or receives such a shipment of vinous beverages from a person who is not licensed as required under Title 7 V.S.A. Section 66 may be fined not more than $1,000.00 or imprisoned no more than one year, or both. Shipment of vinous beverages to an individual under 21 years of age shall be fined not less than $1,000.00 nor more than $3,000.00 or imprisoned not more than two years, or both. Any violation under Title 7, V.S.A. Section 66, the Liquor Control Board may suspend or revoke a license, among all other remedies available to the Board. Contact Information To learn more about Vermont’s Direct Shipping law, please call or email the Department of Liquor Control at 802-828-2339 or visit www.state.vt.us/dlc Effective May 10, 2006. American LegalNet, Inc. www.FormsWorkflow.com APPROVED Direct to Consumer Shipping License Application for Vinous Beverages DISAPPROVED Date: Reason: (for department use only) Manufacturer’s Only Fee: $300 (certified check for out of state) ___Individual ___Partnership ___Corporation ___ LLC CHOOSE ONE OF THE ABOVE OPTIONS LICENSE TYPE IN YOUR STATE: LICENSE NUMBER: CORPORATION NAME: FEDERAL ID NUMBER: Bus. Ph. No.: TRADE NAME: BUSINESS LOCATION: NO. CITY INTERNET ADDRESS http://www. STREET STATE ZIP EMAIL ADDRESS List below or on the back of this form, the names and addresses of the business owners, partners, corporate officers, or LLC members, as appropriate. By filing this application, I consent to jurisdiction of the Department of Liquor Control or any other state agency and the Vermont state courts concerning enforcement of this or other related laws and regulations and I agree to operate in Vermont under the requirements of Title 7 and all other applicable Vermont Laws and Regulations. By signing this, I, acknowledge that all information provided is true and correct, and that I agree to meet the Vermont operating conditions specified above. Signature: Title: Mail completed application to: Vermont Department of Liquor Control Education, Licensing & Enforcement Division 13 Green Mountain Drive, Drawer 20 Montpelier, Vermont 05620-4501 (802)828-2339 www.liquorcontrol.vermont.gov American LegalNet, Inc. www.FormsWorkflow.com